| NPI | 1104269828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201241660RN) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OR 201241660RN) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2017-04-04 |